Nicholas Willis in Pine Bluff - Cardiovascular Disease
Nicholas Willis - NPI 1629292883
Nicholas Willis is a Cardiovascular Disease in Pine Bluff, Arkansas. Nicholas Willis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Nicholas Willis is 1629292883. The last update date is 2020-10-19.
Nicholas Willis's current location address is 1601 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705414285 and fax number 8705414297. The mailing address for Nicholas Willis is 1601 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas Willis |
|---|---|
| Address | 1601 W 40th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705414285 |
| Fax Number | 8705414297 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629292883 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-10-19 |
Provider Mailing Address Detail
| Address | 1601 W 40th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716036319 |
| Phone Number | 8705414285 |
| Fax Number | 8705414297 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | E5292 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 168857001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicholas Willis by the Centers for Medicare & Medicaid Services?
The Nicholas Willis has been assigned the NPI (National Provider Identifier) 1629292883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Nicholas Willis?
The Nicholas Willis is physically situated at 1601 W 40Th Ave, in the city of Pine Bluff, state of AR, with the postal code 716036319.
What is Nicholas Willis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicholas Willis is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
When did the Nicholas Willis receive its 1629292883?
The Nicholas Willis was issued its 1629292883 on 2007-04-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Nicholas Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicholas Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-19.
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